Gluetal Region and Hip Joint Flashcards
what part of the innominate bone participates in the hip joint
acetabulum
what does the gluteal line do
divides the surface of the bone into different areas
what is the angle that the femur sits as known as
angle of inclination
who has a narrower angle on inclination, males or females
females
what is the angle between the femur and the condyles known as
the angle of anteversion
what are the different groups of the muscles of the glueal region
lateral rotators of the hip, medial rotators and abductors of the hip, and support muscle
what muscles are the lateral rotators of the hip
gluteus maximus, piriformis, obturator internus, gemelli and quadratus femoris
what muscles are the medial rotators and abductors of the hip
gluteus medius and minimus
what is the support muscle
the tensor fasciae latae
attachment/insertion of gluteus maximus
attach - sacrum, sacrotuberous ligament and the ileum behind the posterior gluteal line
insert - 3/4th into the iliotibial tract and 1/4th into the gluteal tuberosity of the femur
function of gluteus maximus
hip extension and assists in lateral rotation
innervation of gluteus maximus
inferior gluteal nerve (L5-S2)
attachment/insertion of tensor fasciae latae
attach - anterior iliac crest and the anterior superior ischial spine
insert - the iliotibial tract
function of tensor fascia latae
tenses the fasciae latae and iliotibial tract
supports the femur on tibia while standing
innervation of tensor fascia latae
superior gluteal nerve (L5-S1)
attachemnt/insertion of gluteus medius
attach - ilium between the posterior and anterior gluteal lines
insert - greater trochanter of the femur on the lateral surface
function of gluteus medius
abducts and medially rotates the hip
innervation of gluteus medius
superior gluteal nerve (L4-S1)
attachment/insertion of gluteus minimus
attach - ilium between the anterior and inferior gluteal lines
inserts - he anterior surface of the greater trochanter of the femur
function of gluteus minimus
abducts and medially rotates the hip
innervation of gluteus minimus
superior gluteal nerve (L4S1)
attachment/insertion of piriformis
attach - the anterior sacrum and the sacrotuberous ligament
inserts - the superior border of the greater trochanter of the femur
where does piriformis pass through
the greater sciatic foramen
function of piriformis
laterally rotating the hip
innervation of piriformis
anterior rami of S1 and S2
attachment/insertion of obturator internus
attach - pelvic surface of the obturator membrane and surrounding bones
insert - the medial side of the greater trochanter
where does the obturator internus pass through
the lesser sciatic foramen
function of oturator internus
lateral rotation of the hip
innervation of obturator internus
nerve to obturator interus (L5,S1)
what are the gemelli composed of
superior and inferior gemelli
attachment of gemelli
superior attach - ischial spine
inferior attach - ischial tuberosity
what do the gemelli blend with
the tendon of obturator internus
function of gemelli
lateral rotation of the hip
innervation of gemelli
superior - nerve to obturator internus
inferior - nerve to quadratus femoris
attachment/insertion of quadratus femoris
attach - the ischial tuberosity
inserts - quadrate tubercle on the intertrochanteric rest of the femur
function of quadratus femoris
lateral rotation of the hip
innervation of quadratus femoris
nerve to quadratus femoris (L5,S1)
attachemnt/insertion of obturator externus
attach - outer surface of the obturator membrane
inserts - the trochanteric fossa
function of obturator externus
lateral rotation of the hip
innervation of obturator externus
obturator nerve (L3,L4)
root values of the sciatic nerve
L4-S3
what is the sciatic nerve composed of
a tibial nerve and a common peroneal nerve
where does the tibial nerve leave
below piriformis
what nerves and vessels are within the gluteal region
superior gluteal and inferior gluteal
where oes thew posterior cutaneous nevre of the thigh lie
on the posterior aspect of the sciatic nerve
what does the posterior cutaneous nerve provide
inferior clunial nerve to the skin of the inferior half of the butt
what are the cutaneous nerves of the gluteal and posterior thigh
superior clunial (posterior rami L1-L3) middle clunial (posterior rami S1-S3) posterior cutaneous nerve of the thigh with inferior clunial branches (anterior rami S1-S3)
what are the articular surfaces of the hip joint
acetabulum and the head of the femur
what does the capsule of the hip joint join onto
hip bone, anterior femur and posterior femur
what are the ligaments involved in the hip joint
iliofemoral, pubofemoral and ischiofemoral ligaments
attachment/insertion of iliofemoral ligament
attach - anterior inferior ischial spine
inserts - the intertrochanteric line
what is the iliofemoral ligament composed of
upper and lower bands
what does the iliotibial ligament limit
extension, lateral rotation, adduction (upper band), and abduction (lower band)
attachment/insertion of pubofemoral ligament
attach - iliopubic eminence
inserts - lower part of the intertrochanteric line
what does the pubofemoral ligament limit
extension, lateral rotation and abduction
attachment/insertion of ischiofemoral ligament
attach - posterior aspect of the acetabulum
insert - the lesser trochanter
what does the ischiofemoral ligament limit
extension, medial rotation and adduction
what provides blood supply to the hip joint
medial circumflex femoral artery, lateral circumflex femoral artery and the acetabular branch